Organization
RENEW DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMESA CASTILLA (MANAGING MEMBER)
(509) 940-3376
Entity
Organization
Contact information
Practice address
7325 W DESCHUTES AVE STE D, KENNEWICK, WA 99336-6705
(509) 940-3376
Mailing address
7325 W DESCHUTES AVE STE D, KENNEWICK, WA 99336-6705
(509) 940-3376
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
10/09/2024
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